Slauterbeck J R, Britton C, Moneim M S, Clevenger F W
Department of Orthopaedics, University of New Mexico Hospital, Albuquerque.
J Orthop Trauma. 1994 Aug;8(4):282-5. doi: 10.1097/00005131-199408000-00002.
The mangled extremity severity score (MESS) is a scoring system that can be applied to mangled extremities and help one determine which mangled limbs will eventually come to amputation. The MESS is a graduated grading system based on skeletal and soft tissue injury, shock, ischemia, and age. The records of 37 patients having sustained 43 open fractures or mangled upper extremity injuries, seen and treated at the University of New Mexico's Regional Trauma Center between April 1987 and September 1990, have been reviewed. All nine extremity injuries with a MESS of greater than or equal to seven were amputated, and 34 of 34 with a MESS of less than seven were salvaged. Nine Grade IIIC and six mangled extremities were identified in our study. Five of these Grade IIIC and four of the mangled extremities with a MESS of greater than or equal to seven were amputated. All Grade IIIC or mangled extremities with a MESS of less than seven were salvaged. In conclusion, the MESS is an early and accurate predictor for identifying the extremities that may be best treated by amputation.
肢体严重损伤评分（MESS）是一种可应用于严重损伤肢体的评分系统，有助于确定哪些严重损伤的肢体最终需要截肢。MESS是一种基于骨骼和软组织损伤、休克、缺血及年龄的分级评分系统。回顾了1987年4月至1990年9月在新墨西哥大学区域创伤中心就诊并接受治疗的37例发生43处开放性骨折或上肢严重损伤患者的记录。所有MESS评分大于或等于7分的9例肢体损伤均进行了截肢，而MESS评分小于7分的34例中有34例得以保肢。在我们的研究中识别出9例ⅢC级损伤和6例严重损伤肢体。其中5例ⅢC级损伤以及4例MESS评分大于或等于7分的严重损伤肢体进行了截肢。所有MESS评分小于7分的ⅢC级损伤或严重损伤肢体均得以保肢。总之，MESS是一种早期且准确的预测指标，可用于识别可能最适合通过截肢治疗的肢体。
